Huspa, Fitri Agustina
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FAMILY PERCEPTION OF LIFE-SUSTAINING TREATMENT WITHDRAWAL IN PATIENT WITH SEVERE BRAIN INJURY: A QUALITATIVE STUDY IN BANDUNG-INDONESIA Hidayat, Gezira Azka Aulia; Huspa, Fitri Agustina; Syukriani, Yoni Fuadah
Jurnal Forensik dan Medikolegal Indonesia Vol 4 No 1 (2023): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jfmi.2023.4.1.7931

Abstract

Background: The decision-making process for withdrawing life-sustaining treatment (LST) in patients with severe brain injury can potentially become a problem between doctor and family because of different opinions. Objective: Explore the family consideration in withdrawing LST in patients with severe brain injury. Methods: This qualitative descriptive study with phenomenological approach conducted using semi-structured in-depth interview. Subjects were family members of coma patients due to severe brain injury and were admitted to the Intensive Care Unit in Hasan Sadikin General Hospital during January 2019 - December 2020. Results: The results of the five-participant interview showed that the considerations for withdrawing LST include: (1) the patient's condition, (2) family psychology, (3) resources, and (4) family beliefs. Conclusion: Doctors need to understand the family's considerations in terminating LST to bridge the inner conflicts that occur in the patient's family.
Prediction of Height from Various Limb Measurement Syafira, Aisha Dinda; Huspa, Fitri Agustina; Wahyudi, Kurnia
Jurnal Forensik dan Medikolegal Indonesia Vol 6 No 1 (2025): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jfmi.2025.6.1.13038

Abstract

Height has an important role in forensic medicine and clinical context, namely for biological profile identification of missing or unknown individuals and to provide an easier way to assess nutritional status of bedridden patients or elderly. This literature review aims to explore the variations in height prediction formulas based on limb bone length and to identify the advantages and limitations of these prediction techniques. Scientific studies were selected from Google Scholar, Scopus, and PubMed. Boolean operators and filters were applied to limit only relevant studies. The inclusion criteria in this research are research published in journals in the period 2019-2024, in the form of articles and not pre-prints, in Indonesian or English, research conducted on living humans, full research access-text and free. The exclusion criteria in this research are child and elderly research participants, research participants who suffer from certain diseases, and research using supporting examinations or artificial intelligence. These studies were then selected by using PRISMA flow. 30 articles were included in this study from 367 results. Most of the studies show that there is a positive correlation between stature and limb bone length. Therefore, height can be predicted by limb bone length but should consider population variations such as age, gender, ethnicity, nutritional status, and medical conditions. Keywords: stature, estimation, prediction, limb bone length
KNOWLEDGE AND ATTITUDES OF POLICE AND MEDICAL DOCTORS IN CENTRAL LAMPUNG REGENCY REGARDING ALCOHOL LEVEL TEST FOR MOTOR VEHICLE DRIVERS WIGUNA, I PUTU SUWARTAMA; Syukriani, Yoni Fuadah; Huspa, Fitri Agustina
Jurnal Forensik dan Medikolegal Indonesia Vol 6 No 2 (2025): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jfmi.2025.6.2.14405

Abstract

Based on data from the Global Status Report on Road Safety published by the World Health Organization in 2018 and 2023, traffic accidents are one of the factors causing death in the world. One of the influencing factors is alcohol because it can interfere with concentration while driving. Various countries have tried to reduce the number of traffic accidents by checking drivers’ alcohol levels. Indonesia is one of the countries that has not implemented the test routinely, while the number of traffic accidents is still relatively high. For example, traffic accident victims in Lampung Province have increased between 2021 and 2022, and Central Lampung Regency ranks 2nd highest in traffic accidents in Lampung Province. Efforts to check alcohol levels require the involvement of police agencies and hospitals, including police officers and doctors. This research describes the knowledge, attitudes, and behaviour of police officers and doctors in Central Lampung Regency regarding alcohol level tests in drivers who have experienced traffic accidents. The research used an explanatory sequential mixed method design. Quantitative data regarding knowledge and attitudes were collected through questionnaires (n=77, 36 doctors, 41 police officers). The convenience sampling approach was used as the sampling method, then analyzed using SPSS ver.27. Data analysis was carried out using univariate, bivariate (Spearman test, Mann-Whitney test, Chi-square and Fisher exact tests), and multivariate logistic regression tests. Qualitative data to explain the knowledge, attitudes, and behaviour were collected through interviews through purposive sampling. The results showed that there were significant differences in knowledge, attitudes and behaviour between police and doctors (p<0,001); there is a weak correlation between knowledge and attitudes and behaviour of police and doctors (r=0,399). Age, length of service, gender, education, and occupation significantly correlate with the knowledge, attitudes and behaviour of police and doctors (p<0,05). The age factor has the most dominant relationship with knowledge (OR 3,4; p=0,02) in police and doctors. Qualitative data explained that young doctors have better knowledge, as well as more positive attitudes and behaviour towards alcohol level tests, compared to that of the police and older doctors. It can be concluded that there are significant differences between police and doctors in knowledge, attitudes and behaviour towards alcohol level tests of drivers involved in traffic accidents. It is suggested that the alcohol testing policy for drivers needs to be preceded by education for police and doctors using a different approach.